Individual
BRIANNA MICHELLE MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 265-1000
Mailing address
696 COUNTY ROAD 307, MOULTON, AL 35650-8427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-145031
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-145031
AL
Other
Enumeration date
08/09/2020
Last updated
09/08/2022
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